Active NPI
Kelly A. O'Malley, P.T.
- Physical Therapist
- Pittsford, NY
National Provider Identifier
1730368572
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 029803-1
- Practice address
- 141 Sully'S Trail
Suite 9
Pittsford, NY 14534 - Phone
- (585) 387-0430
- Fax
- (585) 387-0431
- NPI assigned
- Oct 29, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 029803 | NY | |
| Physical Therapist | 225100000X | 029803-1 | NY | Primary |
Addresses
Primary practice location
141 Sully'S Trail
Suite 9
Pittsford, NY 14534
Mailing address
141 Sully'S Trail
Suite 9
Pittsford, NY 14534
Phone (585) 387-0430
Other names 1
- Ms. Kelly A. Robinson
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2007
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1000 Pittsford Victor Rd
Pittsford, NY 14534-3822
Phone (585) 387-0430
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 029803 | NY | MD | General Practice Dentistry |
| 029803-1 | NY | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Genesee Valley Physical Therapy & Sports Rehab., P.C. | Physical Therapist | Current | Accepting new patients |
| Lakeshore Physical Therapy | Specialist | Past | Accepting new patients |
| Hectorpt Senior Rehabilitation Services, PT, OT, SLP, PLLC | Past | Accepting new patients | |
| Hector PT Rehabilitation Services, P.C. | Physical Therapist | Past | Accepting new patients |
Locations
1000 Pittsford Victor Rd
Pittsford, NY 14534
Phone (585) 248-0900
2300 Buffalo Rd
Bldg 300A
Rochester, NY 14624
Phone (716) 247-0080
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Physical Therapist
- Rochester, NY
- NPI 1407910953
-
- Geriatric Physical Therapist
- Latham, NY
- NPI 1235184755
-
- Geriatric Physical Therapist
- Clifton Park, NY
- NPI 1093860595
-
- Specialist
- Rochester, NY
- NPI 1508927906
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1193616000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1283299200000",
"number": "1730368572",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "141 SULLY'S TRAIL",
"address_2": "SUITE 9",
"city": "PITTSFORD",
"state": "NY",
"postal_code": "14534",
"telephone_number": "585-387-0430",
"fax_number": "585-387-0431"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "141 SULLY'S TRAIL",
"address_2": "SUITE 9",
"city": "PITTSFORD",
"state": "NY",
"postal_code": "14534",
"telephone_number": "585-387-0430",
"fax_number": "585-387-0431"
}
],
"practiceLocations": [],
"basic": {
"last_name": "O'MALLEY",
"first_name": "KELLY",
"middle_name": "A.",
"name_prefix": "Ms.",
"credential": "P.T.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-10-29",
"last_updated": "2010-09-01",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "NY",
"license": "029803",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NY",
"license": "029803-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "KELLY",
"last_name": "ROBINSON",
"middle_name": "A.",
"prefix": "MS.",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Pittsford, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.